GRACI MARIE GORMAN (NPI# 1912564865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912564865 |
| Entity Type | Individual |
| Full Name | GRACI MARIE GORMAN |
| Credential | MD |
| Practice Address |
640 Jackson St Saint Paul MN 55101-2502 |
| Mailing Address |
781 Sweet Briar Ln Red Wing MN 55066-1600 |
| Practice Telephone | 6512543456 |
| Mailing Telephone | 6513805690 |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2019-05-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | MN | Student, Health Care |
| Street Address |
640 JACKSON ST |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55101-2502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780686378 | Margaret Radermacher Schnobrich | Nurse Anesthetist, Certified Registered | 640 Jackson St, Saint Paul, MN 55101-2502 | 2005-08-12 |
| 1013518174 | Katara Jo Henderson | Student in an Organized Health Care Education/Training Program | 640 Jackson St, Saint Paul, MN 55101-2595 | 2020-11-05 |
| 1013516087 | Marit Sonnesyn | Physician Assistant | 640 Jackson St, Saint Paul, MN 55101-2502 | 2020-10-21 |
| 1114526027 | Carolyn Besch | Occupational Therapist | 640 Jackson St, Saint Paul, MN 55101-2595 | 2020-10-21 |
| 1952908576 | Mckenna Rebecca Splett | Physical Therapist | 640 Jackson St, Saint Paul, MN 55101-2502 | 2020-10-06 |
| 1164029997 | Alyssa Jean Cutcher | Physical Therapist | 640 Jackson St, Saint Paul, MN 55101-2595 | 2020-10-05 |
| 1851998884 | Danielle Chirhart | Occupational Therapist | 640 Jackson St, Saint Paul, MN 55101-2595 | 2020-10-02 |
| 1174130389 | Frederick Schaefer Jr. | Speech-Language Pathologist | 640 Jackson St, Saint Paul, MN 55101-2502 | 2020-09-30 |
| 1538775853 | Rebeca Joy Houle | Nurse Anesthetist, Certified Registered | 640 Jackson St, Saint Paul, MN 55101-2502 | 2020-09-22 |
| 1134733702 | Nicholas Honda | Pharmacist | 640 Jackson St, Saint Paul, MN 55101-2502 | 2020-09-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508480427 | El Solutions LLC | Clinic/Center | 445 Minnesota St., Ste. 1500 12, St. Paul, MN 55101 | 2020-06-05 |
| 1689211443 | Siripa Min | Nurse Anesthetist, Certified Registered | 640 Jackson Street Mail Stop 11503, St. Paul, MN 55101 | 2019-11-28 |
| 1922590488 | Diane Mcleod | Physician Assistant | Healthpartners Regions Specialty Clinics, 640 Jackson St - Mail Stop 11109e, Saint Paul, MN 55101 | 2018-05-31 |
| 1699284919 | Eric Mcgillis | Emergency Medicine | Regions Hospital - Emergency Medicine, 11102f, 640 Jackson St, St Paul, MN 55101 | 2017-09-29 |
| 1073051751 | Hannah Elizabeth Rosenthal Danielson | Physician Assistant | 640 Jackson St # Ms 11102m, Saint Paul, MN 55101 | 2017-02-02 |
| 1992182323 | Theresa Annette Cashdollar-powell | Social Worker | 640 Jackson, St Paul, MN 55101 | 2015-05-06 |
| 1770986101 | Margaret Augusta Cutter | Physician Assistant | 200 Univeristy Ave E, Saint Paul, MN 55101 | 2014-09-30 |
| 1851641419 | Lisa Rae Caturia | Occupational Therapy Assistant | 640 Jackson St, 8th Floor, St Paul, MN 55101 | 2012-09-11 |
| 1558619478 | Rph On The Go | Community/Behavioral Health | 172 E 6th Street, 704, Saint Paul, MN 55101 | 2012-08-27 |
| 1184994212 | Duyen Truong | Pharmacist | 604 Jackson Street, St. Paul, MN 55101 | 2012-01-05 |
| Find all providers in zip 55101 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740895770 | Arielle Johnson | Student in an Organized Health Care Education/Training Program | 1162 Thomas Ave, Saint Paul, MN 55104-2538 | 2020-09-15 |
| 1669094538 | Jessie Mae Juenemann | Student in an Organized Health Care Education/Training Program | 1412 Taylor Ave W, Saint Paul, MN 55104-1329 | 2020-05-13 |
| 1043830896 | Lorenzo Angelo Pavoloni | Student in an Organized Health Care Education/Training Program | 1970 Bohland Ave, Saint Paul, MN 55116-1909 | 2020-04-22 |
| 1396384418 | Meagan Nicole Brockman | Student in an Organized Health Care Education/Training Program | 388 Snelling Ave S, Saint Paul, MN 55105-2142 | 2020-01-06 |
| 1386283000 | Anna Boyd | Student in an Organized Health Care Education/Training Program | 808 Berry St Apt 481, Saint Paul, MN 55114-1380 | 2019-12-27 |
| 1811535362 | Hanna Elizabeth Erickson | Student in an Organized Health Care Education/Training Program | 1514 Chelsea St, Saint Paul, MN 55108-2310 | 2019-12-16 |
| 1255977377 | Kao Youa Lee | Student in an Organized Health Care Education/Training Program | 1692 Maryland Ave E, Saint Paul, MN 55106-2941 | 2019-11-24 |
| 1245876796 | Michael Kittok | Student in an Organized Health Care Education/Training Program | 1274 Sherburne Ave, Saint Paul, MN 55104-2529 | 2019-11-19 |
| 1750944773 | Terrell Messerly | Student in an Organized Health Care Education/Training Program | 750 Otto Ave Unit 2236, Saint Paul, MN 55102-5042 | 2019-04-16 |
| 1205397015 | Taylor Christine Millikan | Student in an Organized Health Care Education/Training Program | 640 Jackson Street - Mail Stop 11109e, Saint Paul, MN 55101-2502 | 2019-03-26 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55101 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.